[Federal Register Volume 83, Number 114 (Wednesday, June 13, 2018)]
[Pages 27601-27602]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-12637]



Centers for Disease Control and Prevention

[60Day-18-0728; Docket No. CDC-2018-0047]

Proposed Data Collection Submitted for Public Comment and 

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.


SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled the National Notifiable Diseases 
Surveillance System (NNDSS). The NNDSS is the nation's public health 
surveillance system that monitors the occurrence and spread of diseases 
and conditions that are nationally notifiable or under standard 

DATES: CDC must receive written comments on or before August 13, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0047 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (regulations.gov) or by U.S. mail to the address listed above.

FOR FURTHER INFORMATION CONTACT:  To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Leroy A. Richardson, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: 

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    National Notifiable Diseases Surveillance System--Revision--Center 
for Surveillance, Epidemiology and Laboratory Services (CSELS), Centers 
for Disease Control and Prevention (CDC).

Background and Brief Description

    The Public Health Services Act (42 U.S.C. 241) authorizes CDC to 
disseminate nationally notifiable condition information. The National 
Notifiable Diseases Surveillance System (NNDSS) is based on data 
collected at the state, territorial and local levels as a result of 
legislation and regulations in those jurisdictions that require health 
care providers, medical laboratories, and other entities to submit 
health-related data on reportable conditions to public health 
departments. These reportable conditions, which include infectious and 
non-infectious diseases, vary by jurisdiction depending upon each 
jurisdiction's health priorities and needs. Each year, the Council of 
State and Territorial Disease Epidemiologists (CSTE), supported by CDC, 
determines which reportable conditions should be designated nationally 
notifiable or under standardized surveillance.
    CDC requests a three-year approval for a Revision for the NNDSS, 
OMB Control No. 0920-0728, Expiration Date 02/28/2021. This Revision 
includes requests for approval to: (1) Receive case notification data 
for Salmonella enterica serotype Paratyphi (S. Paratyphi) A, B, or C 
Infections should they become nationally notifiable or be placed under 
standardized surveillance; (2) receive case notification data for 
Carbapenemase-Producing Carbapenem-Resistant Enterobacteriaceae (CP-
CRE) which is now nationally notifiable; (3) receive case notification 
data for Candida auris (C. auris) which is now under standardized 
surveillance; and (4) receive disease-specific data elements for CP-
    The NNDSS currently facilitates the submission and aggregation of 
case notification data voluntarily submitted to CDC from 60 
jurisdictions: Public health departments in every U.S. state,

[[Page 27602]]

New York City, Washington DC, 5 U.S. territories (American Samoa, the 
Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the 
U.S. Virgin Islands), and 3 freely associated states (Federated States 
of Micronesia, the Republic of the Marshall Islands, and the Republic 
of Palau). This information is shared across jurisdictional boundaries 
and both surveillance and prevention and control activities are 
coordinated at regional and national levels.
    Approximately 90% of case notifications are encrypted and submitted 
to NNDSS electronically from already existing databases by automated 
electronic messages. When automated transmission is not possible, case 
notifications are faxed, emailed, uploaded to a secure network or 
entered into a secure website. All case notifications that are faxed, 
emailed, and uploaded are done so in the form of an aggregate weekly or 
annual report, not individual cases. These different mechanisms used to 
send case notifications to CDC vary by the jurisdiction and the disease 
or condition. Private personally identifiable information (PII) is 
collected from automated electronic messages and information can be 
retrieved by PII. In addition, some combinations of submitted data 
elements could potentially be used to identify individuals. Private 
information is not be disclosed unless otherwise compelled by law. All 
data are treated in a secure manner consistent with the technical, 
administrative, and operational controls required by the Federal 
Information Security Management Act of 2002 (FISMA) and the 2010 
National Institute of Standards and Technology (NIST) Recommended 
Security Controls for Federal Information Systems and Organizations. 
Weekly tables of nationally notifiable diseases are available through 
CDC WONDER and data.cdc.gov. Annual summaries of finalized nationally 
notifiable disease data are published on CDC WONDER and data.cdc.gov 
and disease-specific data are published by individual CDC programs.
    The burden estimates include the number of hours that the public 
health department uses to process and send case notification data from 
their jurisdiction to CDC. Specifically, the burden estimates include 
separate burden hours incurred for automated and non-automated 
transmissions, separate weekly burden hours incurred for modernizing 
surveillance systems as part of NNDSS Modernization Initiative (NMI) 
implementation, separate burden hours incurred for annual data 
reconciliation and submission, and separate one-time burden hours 
incurred for the addition of new diseases and data elements. The burden 
estimates also include the one-time burden for reporting jurisdictions 
for the addition of case notification data for CP-CRE and C. auris and 
disease-specific data elements for CP-CRE. The estimated annual burden 
for the 233 respondents is 18,619 hours. The cost of the information 
collection is $787,846. The total burden hours increased from 18,529 to 
18,619 since the last revision because of the addition of diseases and 
disease-specific data elements.

                                        Estimated Annualized Burden Hours
                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
States........................  Weekly                        50              52           20/60             867
States........................  Weekly (Non-                  10              52               2           1,040
States........................  Weekly (NMI                   50              52               4          10,400
States........................  Annual..........              50               1              75           3,750
States........................  One-time                      50               1              10             485
                                 Addition of
                                 Diseases and
                                 Data Elements.
Territories...................  Weekly                         1              52           20/60              17
Territories...................  Weekly,                        5              56           20/60              93
                                 Quarterly (Non-
Territories...................  Weekly (NMI                    5              52               4           1,040
Territories...................  Annual..........               5               1               5              25
Territories...................  One-time                       1               1           10/60               1
                                 Addition of
                                 Diseases and
                                 Data Elements.
Freely Associated States......  Weekly,                        3              56           20/60              56
                                 Quarterly (Non-
Freely Associated States......  Annual..........               3               1               5              15

Jeffrey M. Zirger,
Acting Chief, Information Collection Review Office, Office of 
Scientific Integrity, Office of the Associate Director for Science, 
Office of the Director, Centers for Disease Control and Prevention.
[FR Doc. 2018-12637 Filed 6-12-18; 8:45 am]